A
Active Pharmaceutical IngredientAPI
The biologically active component in a drug or peptide compound, the molecule that actually does the work in your body. When evaluating gray market peptides, API origin matters: domestic-sourced APIs have more verifiable chain of custody than Chinese-origin APIs. Look for COA documentation that traces the API source.
Apnea-Hypopnea IndexAHI
A measure of sleep apnea severity. Counts the number of breathing interruptions per hour of sleep. Normal: under 5. Mild: 5โ14. Moderate: 15โ29. Severe: 30+. Tracked in NextStep and relevant to anyone using CPAP therapy.
B
Branded MedicationBranded
The original, FDA-approved version of a drug, manufactured by the company that developed it, like Ozempic, Wegovy, Mounjaro, or Zepbound. This is the only tier that carries full FDA approval for the specific brand name and formulation. See also
Compounded and
Gray Market for how the other two access tiers differ.
Bioelectrical Impedance AnalysisBIA
A method for estimating body composition, including muscle mass, fat mass, and water. A small electrical current passes through the body, fat and muscle conduct it differently. Good for trend tracking, less reliable for single-point measurement. InBody scanners use this method.
Basal Metabolic RateBMR
The number of calories your body burns at complete rest, just to keep organs functioning. Muscle mass significantly raises BMR, which is one of the key reasons muscle preservation during weight loss matters. Lower BMR makes weight regain more likely.
C
Compounded MedicationCompounded
A version of an FDA-approved drug's active ingredient (like semaglutide or tirzepatide) prepared by a state-licensed compounding pharmacy, rather than the original manufacturer. Compounding has a limited, specific FDA allowance, generally tied to drug shortages or patient-specific needs, and is not the same as full FDA approval for that product. Requires a prescription. See also
Branded and
Gray Market.
Current Good Manufacturing PracticescGMP
FDA regulations governing the manufacturing environment, processes, testing, and documentation that pharmaceutical facilities must follow. A peptide supplier claiming cGMP compliance means their facility meets these standards. Third-party auditing is what separates a real claim from a marketing label.
Certificate of AnalysisCOA
A document from a third-party laboratory confirming the purity, potency, and identity of a compound. A COA is the primary quality signal in the gray market peptide space. Look for COAs from independent labs, not certificates issued by the seller.
D
Dual-Energy X-ray AbsorptiometryDEXA
The gold standard for measuring body composition, distinguishes lean mass, fat mass, and bone density with high accuracy. More reliable than BIA for single-point measurements. Requires a clinical facility.
G
Gray MarketGray Market
Compounds sold as
RUO (Research Use Only) outside the prescription and licensed compounding pharmacy system. Gray market products are never FDA approved, never carry an FDA-evaluated chain of custody, and require the buyer to take full responsibility for sourcing, dosing, and monitoring. Not illegal to possess, but not approved for human use. See also
Branded and
Compounded.
Growth Hormone-Releasing HormoneGHRH
A hormone produced in the hypothalamus that signals the pituitary gland to release growth hormone. CJC-1295 is a synthetic analog of GHRH, used to stimulate the body's own GH release in a natural, pulsatile pattern.
Glucose-dependent Insulinotropic PolypeptideGIP
A gut hormone that amplifies insulin release in response to food and appears to enhance fat-burning when activated alongside GLP-1. Tirzepatide activates both the GIP and GLP-1 receptors, which is why it produces greater weight loss than semaglutide alone.
Glucagon-Like Peptide-1GLP-1
A hormone naturally produced in the gut after eating. It signals the brain to reduce appetite, slows stomach emptying, and helps regulate blood sugar by stimulating insulin release. GLP-1 receptor agonists (Ozempic, Wegovy, Mounjaro, Zepbound) mimic this hormone to produce weight loss and metabolic improvement.
Generally Recognized As SafeGRAS
An FDA designation meaning that a substance is considered safe for its intended use based on scientific evidence and expert consensus. AOD-9604 holds GRAS status for food use, a meaningful safety signal, even without drug approval status for weight loss.
H
Hemoglobin A1cHbA1c
A blood test measuring average blood sugar over the past 2โ3 months. Standard labs flag above 5.7% as prediabetic, above 6.5% as diabetic. Optimal metabolic health target: under 5.3%. A key marker in the Clarity three-lab framework alongside fasting insulin and fasting glucose.
Heart Rate VariabilityHRV
The variation in time between successive heartbeats. Higher HRV generally indicates better autonomic nervous system health and recovery capacity. Tracked by Apple Watch and used in NextStep as a marker of sleep quality and stress recovery.
I
Insulin-like Growth Factor 1IGF-1
A hormone produced primarily by the liver in response to growth hormone. IGF-1 mediates many of GH's anabolic effects, muscle growth, fat metabolism, cellular repair. Relevant to the CJC-1295/Ipamorelin conversation because GH stimulation raises IGF-1.
Investigational New DrugIND
An application submitted to the FDA before a drug can be tested in human clinical trials. Filing an IND and completing Phase I, II, and III trials is the pathway to FDA approval. Most gray market peptides have not filed an IND for their specific human therapeutic use.
N
New Drug ApplicationNDA
The formal application submitted to the FDA after Phase III trials are complete, requesting approval to market a drug for a specific indication. A successful NDA results in FDA approval. Most peptides discussed in Peptide You have not completed this process.
R
Randomized Controlled TrialRCT
The gold standard for clinical evidence. Participants are randomly assigned to treatment or placebo groups, controlling for bias. The STEP trials (semaglutide) and SURMOUNT trials (tirzepatide) are RCTs. When evaluating peptide research, ask whether the data comes from an RCT or from animal studies.
Research Use OnlyRUO
A regulatory designation meaning a compound is sold for research purposes, not for human therapeutic use. RUO compounds have not been approved by the FDA for use in humans. This is a legal posture, not a safety rating.
T
Total Daily Energy ExpenditureTDEE
The total number of calories your body burns in a day, including BMR plus the energy cost of all activity. TDEE is the number that matters for weight management: eat below it and you lose weight, above it and you gain.